Individual provider Active NPI

Glenda J Cook, M.D.

  • Family Medicine Physician
  • Elizabethtown, PA
National Provider Identifier
1275503286
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD053135L Issued in PA
Practice address
418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone
(717) 653-1467
Fax
(717) 653-1001
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD053135L PA Primary
Internal Medicine Physician 207R00000X MD053135L PA

Addresses

Primary practice location

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320

Mailing address

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 653-1467

Other identifiers 9

IdentifierTypeStateIssuer
110237772OtherPARAILROAD MEDICARE
50000533OtherPACAPITAL BLUE CROSS
F87562OtherPAHEALTH ASSURANCE
P004427OtherPAGATEWAY HEALTH PLAN
0014654500008MedicaidPA
36826 S101OtherPAGEISINGER HEALTH PLAN
4505677OtherPAAETNA NON-HMO
143903OtherPAHIGHMARK BLUE SHIELD
513684OtherPAAETNA HMIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000467 PA Practitioner - Internal Medicine 2365468683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1001 Cornerstone Dr
Suite B
Mount Joy, PA 17552-9416
Phone (717) 653-2929

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Masonic Village Hospice Hospice, Elizabethtown, PA, CCN 391721
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD053135LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 2, 2002 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Sep 2, 2002 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

418 Cloverleaf Rd
Ste 100
Elizabethtown, PA 17022

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

Interoperability endpoints

  • Direct secure messaging: gcookmd1435@direct-lghealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1275503286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-653-1467",
            "fax_number": "717-653-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-653-1467",
            "fax_number": "717-653-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GLENDA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD053135L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053135L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110237772",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "F87562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P004427",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014654500008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "36826 S101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "4505677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "143903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMIO",
            "identifier": "513684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.